Doctor Name: | JAY CLAYTON |
NPI Number: | 1003997982 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | OTR/L, CHT |
License Number: | 0444 |
Business Practice Address: | 1210 W 18th St Sioux Falls, SD - 571044647 |
Business Phone Number: | 6053281860 |
Business Fax Number: | 6053281857 |
Mailing Address: | 813 W Quail Creek Cir, SIOUX FALLS |
State: | SD |
Postal Code: | 571084107 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/18/2006 |
NPI Last Update Date: | 01/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225XH1200X |
License Number: | 0444 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SD |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Occupational Therapist |
Taxonomy Specialization: | Hand |
Taxonomy Definition: |